Management Pengoptimalan Kebutuhan Oksigen Pada Pasien Gagal Jantung Di Unit Perawatan Intensif: A Literatur Review

Heart failure occurs with symptoms associated with an impaired myocardial ventricular function other than that heart failure manifests as vascular congestion in the pulmonary and systemic circulation resulting in symptoms of insufficient circulation. The main treatment in patients with heart failure with sufficient oxygenation needs. Objective: to find out how to optimize the oxygen needs of heart failure patients. Method: This study uses a literature review method that focuses on fulfilling the oxygen needs of heart failure patients by searching Google Scholar, Elsevier, and Pubmed by using keywords heart failure, oxygenation, respiratory, and heart rate in the period 2015 - 2020. Results: the search found more than 500 case reports according to keywords and then filtered, obtained 5 case report articles. The journal describes the case of heart failure patients and how to cope with oxygen demand in heart failure patients who often experience shortness of breath or hypoxemia. Conclusion: oxygenation therapy for heart failure patients can be done by using ventilation aids and adjusting the patient's position according to the patient's condition and complications

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Comparison of four methods of assessing heart rate variability in patients with heart failure

American Journal of Critical Care ◽

10.4037/ajcc1996.5.1.34 ◽

1996 ◽

Vol 5 (1) ◽

pp. 34-41 ◽

Cited By ~ 6

Author(s):

MA Woo ◽

WG Stevenson ◽

DK Moser

Keyword(s):

Heart Failure ◽

Heart Rate ◽

Heart Rate Variability ◽

Spectral Analysis ◽

Standard Deviation ◽

Autonomic Tone ◽

Recording Time ◽

Heart Failure Patients ◽

Patients With Heart Failure ◽

And Gender

BACKGROUND: Heart rate variability reflects autonomic tone and is used to assess progression and prognosis in a variety of illnesses. However, multiple heart rate variability methods exist and are not necessarily equivalent. OBJECTIVES: To compare four methods of heart rate variability in heart failure patients and healthy subjects. METHODS: Twenty-four-hour Holter recordings were obtained in 50 heart failure patients and 50 age- and gender-matched control patients. From these recordings, heart rate variability was assessed by histograms, standard deviation, Poincare plots, and spectral analysis. RESULTS: For R-R interval histograms, standard deviation, and Poincare plots, diminished heart rate variability was identified in 65% to 100% of heart failure patients versus 0% to 8% of controls. Agreement among these tests ranged from 69% to 96%. Spectral values varied greatly over the recording period, even in the same subject, possibly because of variations in activity. Only 16% of heart failure patients had spectral values that were identified as abnormal. Agreement between spectral analysis and the other methods ranged between 58% and 67%. CONCLUSIONS: Heart rate variability assessed over a 24-hour period with different techniques yields similar but not identical results. Heart rate variability assessed from spectral analysis of short periods of data varied markedly in a 24-hour period and should not be compared with measures obtained from 24-hour methods. Standardization of subject activity and recording time is necessary for comparison of spectral analysis of brief periods. Further research is required to determine if differences among methods assessing 24-hour heart rate variability yield complementary information.

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Dynamics of muscle sympathetic nerve activity in advanced heart failure patients

AJP Heart and Circulatory Physiology ◽

10.1152/ajpheart.1996.271.5.h1962 ◽

1996 ◽

Vol 271 (5) ◽

pp. H1962-H1969

Author(s):

A. H. Nguyen ◽

A. Garfinkel ◽

D. O. Walter ◽

M. A. Hamilton ◽

G. C. Fonarow ◽

...

Keyword(s):

Heart Failure ◽

Heart Rate ◽

Frequency Modulation ◽

Healthy Subjects ◽

Sympathetic Nerve Activity ◽

Muscle Sympathetic Nerve Activity ◽

Low Frequency ◽

Nerve Activity ◽

Heart Failure Patients ◽

Patients With Heart Failure

Muscle sympathetic nerve activity (MSNA) is increased in patients with heart failure compared with healthy subjects. We applied spectral and correlation techniques to determine if qualitative as well as quantitative differences in MSNA differentiate heart failure patients from healthy subjects. We recorded MSNA, heart rate, and respiration in 11 heart failure patients and 10 healthy humans. Our results are as follows. 1) Statistically significant low-frequency modulation of MSNA at 0.029 +/- 0.002 Hz (mean +/- SE; range 0.026-0.038 Hz) was found in 10 of 11 heart failure patients but in only 2 of 10 healthy controls (differences between groups, P < 0.01; chi 2 test). 2) Heart rate and respiration also demonstrated significant low-frequency modulation in a similar range. 3) Spectral and correlation techniques revealed that low-frequency modulation of MSNA was highly correlated with low-frequency modulation of respiration in heart failure patients, but not in healthy subjects. In contrast, low-frequency modulation of MSNA did not correlate well with low-frequency modulation of heart rate. In summary, low-frequency modulation of respiration is coupled to low-frequency modulation of MSNA in heart failure patients, but not in normal subjects. We speculate that this low-frequency modulation of respiration may represent subclinical Cheyne-Stokes breathing, which has marked qualitative effects on MSNA in patients with heart failure.

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Analisis Faktor yang Berpengaruh terhadap Kualitas Tidur Pasien Gagal Jantung di RSUD Kota Tasikmalaya

Jurnal Skolastik Keperawatan ◽

10.35974/jsk.v1i01.32 ◽

2015 ◽

Vol 1 (01) ◽

Author(s):

Ira Suwartika ◽

Peni Cahyati

Keyword(s):

Heart Failure ◽

Dominant Factor ◽

Shortness Of Breath ◽

Quality Of Sleep ◽

Cross Sectional ◽

Heart Failure Patients ◽

Consecutive Sampling ◽

Patients With Heart Failure ◽

Severity Of The Disease

Pendahuluan: Penyakit gagal jantung adalah penyakit sindrom klinis yang ditandai oleh sesak nafas dan fatique saat istirahat atau aktivitas yang disebabkan oleh kelainan struktur atau fungsi jantung. Gejala yang paling umum yaitu ngantuk sepanjang hari dan kesulitan tidur. Kondisi tersebut menyebabkan peningkatan parahnya penyakit jantung, metabolik dan kognitif pasien. Penelitian ini bertujuan menganalisis faktor â€“ faktor yang berpengaruh terhadap kualitas tidur pasien gagal jantung. Metode: Desain penelitian adalah korelasi analitik dengan cross sectional. Tekhnik sampling adalah consecutive sampling berjumlahÂ 80. Analisa data dilakukan dengan metode univariat, bivariat dan multivariat dengan uji regresi logistik ganda. Hasil: Hasil penelitian menunjukkan bahwa kebiasaan minum kopi (p=0,001), kebiasaan merokok (p=0,004) dan tingkat keparahan penyakit (p=0,028) mempunyai pengaruh yang signifikan terhadap kualitas tidur pasien gagal jantung. Hasil multivariat didapatkan tingkat keparahan penyakit merupakan faktor paling dominan yang berpengaruh terhadap kualitas tidur pasien gagal jantung p = 0,001 (p < 0,05). Diskusi: Efek kafein dan nikotin menyebabkan peningkatan aktivitas kardiovaskuler seperti peningkatan denyut jantung dan tekanan darah sehingga menyebabkan pasien dalam keadaan terjaga. Perubahan pada kualitas tidur pada pasien gagal jantung juga dipengaruhi oleh tingkat keparahan penyakit yang menyebabkan perubahan secara patologis pada pasien seperti timbulnya sesak nafas dan adanya pembatasan pada saat aktivitas.Kata Kunci : Gagal Jantung, Kualitas TidurÂ Introduction: Heart failure is a clinical syndrome disease characterized by shortness of breath and fatigue at rest or on exertion caused by abnormalities of structure or function of the heart. The most common symptoms found in patients with heart failure are sleepy during the day and difficulty sleeping. The condition causes an increase in the severity of heart disease increases, metabolic and cognitive patients. This study aimed to analyze factors that affect the quality of sleep of heart failure patients in Tasikmalaya hospital. Methods: The study design was cross-sectional analytic correlation. Sampling techniques by consecutive sampling are 80 samples. The data analysis was conducted using univariate, bivariate and multivariate multiple logistic regression to find the dominant factor. Results: The results showed that coffee drinking habits (p = 0.001), smoking (p = 0.004) and severity of disease (p = 0.028) had a significant influence on the quality of sleep of heart failure patients. Multivariate results obtained severity of the disease is the most dominant factor affecting the quality of sleep of heart failure patients p = 0.001 (p <0.05). Discussion: The effects of caffeine and nicotine cause an increase in cardiovascular activity such as increased heart rate and blood pressure, causing the patient is awake. Changes in the quality of sleep in patients with heart failure also affected by the severity of the disease that causes pathological changes in patients such as the onset of shortness of breath and the current restrictions on activity. Key words: Heart Failure, Sleep QualityFull printable version: PDF

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CIRCULATING GUT METABOLITES IN PATIENTS WITH HEART FAILURE WITH PRESERVED, REDUCED OR RECOVERED EJECTION FRACTION, AND IN THE AGE- AND SEX-MATCHED CONTROLS: RESULTS FROM THE PRESERVED VS. REDUCED EJECTION FRACTION BIOMECHANICAL MARKER REGISTRY FOR AMBULATORY HEART FAILURE PATIENTS (PREFER-HF) STUDY

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(21)01923-9 ◽

2021 ◽

Vol 77 (18) ◽

pp. 564

Author(s):

Neyat Fiseha ◽

Andrew Abboud ◽

Austin Nguonly ◽

Asher Bean ◽

David Dudzinski ◽

...

Keyword(s):

Heart Failure ◽

Ejection Fraction ◽

Reduced Ejection Fraction ◽

Heart Failure Patients ◽

Patients With Heart Failure ◽

Age And Sex

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Remote monitoring of patients with heart failure during the first national lockdown for COVID-19 in France

European Heart Journal - Digital Health ◽

10.1093/ehjdh/ztab044 ◽

2021 ◽

Author(s):

Sylvain Ploux ◽

Marc Strik ◽

Saer Abu-Alrub ◽

F Daniel Ramirez ◽

Samuel Buliard ◽

...

Keyword(s):

Heart Failure ◽

Health Care ◽

Heart Rate ◽

Remote Monitoring ◽

Marked Decrease ◽

Clinical Status ◽

Health Care Use ◽

Physiological Variables ◽

Patients With Heart Failure ◽

Vital Parameters

Abstract Background Multiparametric remote monitoring of patients with heart failure (HF) has the potential to mitigate the health risks of lockdowns for COVID-19. Aims To compare health care use, physiological variables, and HF decompensations during one month before and during the first month of the first French national lockdown for COVID-19 among patients undergoing remote monitoring. Methods Transmitted vital parameters and data from cardiac implantable electronic devices were analyzed in 51 patients. Medical contact was defined as the sum of visits and days of hospitalization. Results The lockdown was associated with a marked decrease in cardiology medical contact (118 days before vs 26 days during, -77%, p = 0.003) and overall medical contact (180 days before vs 79 days during, -58%, p = 0.005). Patient adherence with remote monitoring was 84±21% before and 87±19% during lockdown. The lockdown was not associated with significant changes in various parameters, including physical activity (2±1 to 2±1 h/day), weight (83±16 to 83±16 kg), systolic blood pressure (121±19 to 121±18 mmHg), heart rate (68±10 to 67±10 bpm), heart rate variability (89±44 to 78±46 ms, p = 0.05), atrial fibrillation burden (84±146 vs 86±146 h/month), or thoracic impedance (66±8 to 66±9 Ω). Seven cases of HF decompensations were observed before lockdown, all but one of which required hospitalization, versus six during lockdown, all but one of which were managed remotely. Conclusions The lockdown restrictions caused a marked decrease in health care use but no significant change in the clinical status of HF patients under multiparametric remote monitoring. lay summary The first French COVID-19 lockdown had a huge detrimental impact on conventional health care use (-78% in cardiology medical contact). However the lockdown had little impact over the short-term, if any, on vital parameters and the clinical status of patients with heart failure who were adherent to multiparametric remote monitoring. This remote monitoring strategy allowed early identification and home management of most of the heart failure decompensations during the lockdown.

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Heart Rate–Induced Myocardial Ca 2+ Retention and Left Ventricular Volume Loss in Patients With Heart Failure With Preserved Ejection Fraction

Journal of the American Heart Association ◽

10.1161/jaha.120.017215 ◽

2020 ◽

Vol 9 (17) ◽

Author(s):

Daniel N. Silverman ◽

Mehdi Rambod ◽

Daniel L. Lustgarten ◽

Robert Lobel ◽

Martin M. LeWinter ◽

...

Keyword(s):

Heart Failure ◽

Heart Rate ◽

Ejection Fraction ◽

Sinus Rhythm ◽

Left Ventricular ◽

Atrial Pacing ◽

Preserved Ejection Fraction ◽

Volume Loss ◽

Heart Rates ◽

Patients With Heart Failure

Background Increases in heart rate are thought to result in incomplete left ventricular (LV) relaxation and elevated filling pressures in patients with heart failure with preserved ejection fraction (HFpEF). Experimental studies in isolated human myocardium have suggested that incomplete relaxation is a result of cellular Ca 2+ overload caused by increased myocardial Na + levels. We tested these heart rate paradigms in patients with HFpEF and referent controls without hypertension. Methods and Results In 22 fully sedated and instrumented patients (12 controls and 10 patients with HFpEF) in sinus rhythm with a preserved ejection fraction (≥50%) we assessed left‐sided filling pressures and volumes in sinus rhythm and with atrial pacing (95 beats per minute and 125 beats per minute) before atrial fibrillation ablation. Coronary sinus blood samples and flow measurements were also obtained. Seven women and 15 men were studied (aged 59±10 years, ejection fraction 61%±4%). Patients with HFpEF had a history of hypertension, dyspnea on exertion, concentric LV remodeling and a dilated left atrium, whereas controls did not. Pacing at 125 beats per minute lowered the mean LV end‐diastolic pressure in both groups (controls −4.3±4.1 mm Hg versus patients with HFpEF −8.5±6.0 mm Hg, P =0.08). Pacing also reduced LV end‐diastolic volumes. The volume loss was about twice as much in the HFpEF group (controls −15%±14% versus patients with HFpEF −32%±11%, P =0.009). Coronary venous [Ca 2+ ] increased after pacing at 125 beats per minute in patients with HFpEF but not in controls. [Na + ] did not change. Conclusions Higher resting heart rates are associated with lower filling pressures in patients with and without HFpEF. Incomplete relaxation and LV filling at high heart rates lead to a reduction in LV volumes that is more pronounced in patients with HFpEF and may be associated with myocardial Ca 2+ retention.

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